A prospective, randomized comparative study of patient perceptions and preferences of two types of indwelling voice prostheses

Hancock, Kelli, Ward, Elizabeth, Lawson, Nadine and van As-Brooks, Corina J. (2012) A prospective, randomized comparative study of patient perceptions and preferences of two types of indwelling voice prostheses. International Journal of Language and Communication Disorders, 47 3: 300-309. doi:10.1111/j.1460-6984.2011.00109.x


Author Hancock, Kelli
Ward, Elizabeth
Lawson, Nadine
van As-Brooks, Corina J.
Title A prospective, randomized comparative study of patient perceptions and preferences of two types of indwelling voice prostheses
Journal name International Journal of Language and Communication Disorders   Check publisher's open access policy
ISSN 1368-2822
1460-6984
Publication date 2012-05-01
Sub-type Article (original research)
DOI 10.1111/j.1460-6984.2011.00109.x
Volume 47
Issue 3
Start page 300
End page 309
Total pages 10
Place of publication Oxford United Kingdom
Publisher John Wiley and Sons
Collection year 2013
Language eng
Formatted abstract
Background: Technical and device life issues are frequently the focus of post-laryngectomy rehabilitation studies examining indwelling voice prostheses. Patient perceptions and preferences are considered less often.

Aims: To determine patient perceptions of two indwelling voice prostheses across parameters relating to device use and maintenance and to determine what factors contribute to patient preferences.

Methods & Procedures:
In a randomized, cross-over study, 31 laryngectomy patients completed a 3-week trial of both the new indwelling Provox Vega and a comparator device, the Blom–Singer Classic Indwelling. Patient perceptions of the insertion process, cleaning and care, and voicing were explored after each trial. At the end, overall preference and factors influencing device preference were examined.

Outcome & Results: At the conclusion of the crossover trial, a significantly higher proportion of patients felt voice effort, overall voicing, bloating, and ease and effectiveness of cleaning were superior for the Provox Vega. No preference was noted for insertion processes. Overall device preference was influenced by improved voicing followed by cleaning and care.

Conclusions & Implications:
Patients do not perceive all indwelling devices as equal and should have the opportunity to trial different devices to find the best device for their needs.
Keyword Tracheoesophageal speech
Laryngectomy
Provox Vega
Patient perception
Randomized controlled trial
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
 
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